Problem Solving & CVD Risk Management in Diabetic Blacks
解决问题
基本信息
- 批准号:7070507
- 负责人:
- 金额:$ 15.23万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2004
- 资助国家:美国
- 起止时间:2004-07-15 至 2009-06-30
- 项目状态:已结题
- 来源:
- 关键词:African Americanadult human (21+)behavior modificationbehavior testcardiovascular disorder educationcardiovascular disorder preventioncardiovascular disorder riskclinical researchhuman therapy evaluationhyperglycemiahyperlipidemiahypertensionnoninsulin dependent diabetes mellitusproblem solvingself care
项目摘要
DESCRIPTION (provided by applicant):
African Americans with type 2 diabetes carry high burden of cardiovascular disease risk and adverse vascular events such as stroke and peripheral vascular disease. CVD risk factors of suboptimal blood pressure, lipids, and glycemic control are controllable through medical management and lifestyle behavior modification. The traditional primary care medical management model for these chronic CVD risks is inadequate, and models are shifting toward increased disease-related decision-making and self-management on the part of the patient. Yet, precise methods for: 1) identifying patients with ineffective disease-related problem-solving skills, and 2) providing patients with disease-related education that incorporates problem-solving and decision-making skills, have yet to be determined. The proposed study will address this limitation in the literature by testing a measurement tool and a novel training intervention for problem solving as applied to self-management of high CVD risk in African Americans with type 2 diabetes. The specific aims are to: 1) assess the validity and reliability of an empirically-derived assessment tool of effective vs. ineffective CVD risk-related problem solving ability (the Health Problem Solving Scale, HPSS), 2) develop a novel intervention to teach CVD risk-related problem-solving skills to ineffective problem solvers, and 3) conduct a pilot study with a sample of African Americans with type 2 diabetes who have a high CVD risk profile (suboptimal blood pressure, lipids, and/or HbA1c) AND ineffective CVD risk-related problem-solving skills, as measured by the HPSS. The candidate's career goal is to become an independent researcher in self-management of CVD risk in high-risk African American populations, and to be a leader in the development and translation into practice of novel, theory-driven and empirically based interventions to improve patient self-management of CVD risks. Therefore, the candidate proposes the following two areas of career enhancement training to prepare her for this task: 1) formal coursework and training in cardiovascular epidemiology, research methodology, biostatistics, and behavioral science and health promotion; and 2) research in problem-solving training interventions for high CVD risk African Americans with type 2 diabetes.
Results of this intervention will lead to development of a pilot project in year 04 and an R01 proposal in year 05 to investigate the efficacy of a problem-solving intervention in this high-risk population.
描述(由申请人提供):
患有2型糖尿病的非裔美国人有很高的心血管疾病风险和不良血管事件的负担,如中风和外周血管疾病。血压、血脂和血糖控制不佳的心血管危险因素可通过医疗管理和生活方式行为改变来控制。针对这些慢性心血管疾病风险的传统初级保健医疗管理模式是不够的,模式正在转向增加患者与疾病相关的决策和自我管理。然而,用于:1)识别具有无效的疾病相关问题解决技能的患者,以及2)为患者提供结合了解决问题和决策技能的疾病相关教育的确切方法尚未确定。这项拟议的研究将通过测试一种测量工具和一种新的训练干预来解决问题,以解决患有2型糖尿病的非裔美国人的高心血管风险自我管理,从而解决文献中的这一局限性。具体目的是:1)评估有效与无效心血管风险相关问题解决能力的经验性评估工具(健康问题解决量表,HPSS)的有效性和可靠性;2)开发一种新的干预措施,向无效的问题解决者传授心血管风险相关问题解决技能;3)对HPSS测量的具有较高心血管疾病风险概况(次优血压、血脂和/或糖化血红蛋白)和无效的心血管疾病风险相关问题解决技能的非裔美国人样本进行一项先导性研究。候选人的职业目标是成为非裔美国高危人群心血管风险自我管理方面的独立研究人员,并成为开发和将新颖的、理论驱动的和基于经验的干预措施转化为实践的领导者,以改善患者对心血管风险的自我管理。因此,候选人建议以下两个领域的职业提升培训为她完成这项任务做好准备:1)心血管流行病学、研究方法、生物统计学、行为科学和健康促进方面的正式课程和培训;2)针对患有2型糖尿病的高心血管风险非裔美国人的问题解决培训干预研究。
这项干预措施的结果将导致在04年制定一个试点项目,并在05年提出R01建议,以调查解决问题的干预措施在这一高危人群中的效果。
项目成果
期刊论文数量(0)
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科研奖励数量(0)
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专利数量(0)
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FELICIA HILL-BRIGGS其他文献
FELICIA HILL-BRIGGS的其他文献
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{{ truncateString('FELICIA HILL-BRIGGS', 18)}}的其他基金
Randomized Trial of CVD Education and Problem-Solving Training in Urban Diabetics
城市糖尿病患者心血管疾病教育和问题解决训练的随机试验
- 批准号:
7777271 - 财政年份:2009
- 资助金额:
$ 15.23万 - 项目类别:
Randomized Trial of CVD Education and Problem-Solving Training in Urban Diabetics
城市糖尿病患者心血管疾病教育和问题解决训练的随机试验
- 批准号:
8234080 - 财政年份:2009
- 资助金额:
$ 15.23万 - 项目类别:
Randomized Trial of CVD Education and Problem-Solving Training in Urban Diabetics
城市糖尿病患者心血管疾病教育和问题解决训练的随机试验
- 批准号:
7559915 - 财政年份:2009
- 资助金额:
$ 15.23万 - 项目类别:
Randomized Trial of CVD Education and Problem-Solving Training in Urban Diabetics
城市糖尿病患者心血管疾病教育和问题解决训练的随机试验
- 批准号:
8073975 - 财政年份:2009
- 资助金额:
$ 15.23万 - 项目类别:
Problem Solving & CVD Risk Management in Diabetic Blacks
解决问题
- 批准号:
7468432 - 财政年份:2004
- 资助金额:
$ 15.23万 - 项目类别:
Problem Solving & CVD Risk Management in Diabetic Blacks
解决问题
- 批准号:
6921387 - 财政年份:2004
- 资助金额:
$ 15.23万 - 项目类别:
Problem Solving & CVD Risk Management in Diabetic Blacks
解决问题
- 批准号:
6771328 - 财政年份:2004
- 资助金额:
$ 15.23万 - 项目类别:
Problem Solving & CVD Risk Management in Diabetic Blacks
解决问题
- 批准号:
7252423 - 财政年份:2004
- 资助金额:
$ 15.23万 - 项目类别: